IndividualActive
Emily Civera, PA
NPI 1568090918 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1568090918
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 4609 (TN)
Practice location
625 S New Ballas Rd Ste 7063
Saint Louis, MO 63141-8218
Phone: (314) 251-4200
Mailing address
625 S New Ballas Rd Ste 7063
Saint Louis, MO 63141-8218
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2023-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.